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9%
Synopsis: 12 studies were included in this meta-analysis, comparing pulsed electromagnetic field (PEMF) therapy to sham therapy for the treatment of osteoarthritis (OA).The outcomes of interest in included pain, function, and adverse events.The pooled results found significantly improved pain and function among PEMF groups compared to sham groups.More specifically, the improvement in pain and function was observed in the treatment of knee and hand OA; no significant differences were observed between PEMF and sham groups for the treatment of cervical OA. There were no... Read More »
Level 1 Meta Analysis
9%
Synopsis: 45 patients with acute lateral epicondylitis were randomized to treatment with either a counterforce brace or a placebo brace.The purpose of this study was to compare outcomes of pain and function between the two types of braces.The primary outcome was frequency of pain on activity.Important secondary outcomes included severity of pain on activity, frequency and severity of pain at rest, and overall impression of elbow function.Follow-up was scheduled for 2 weeks, 6 weeks, 12 weeks, and 26 weeks.Final follow-up continued to an average of 3 years.For pain during activity, no significant differences between groups were reported for either frequency or severity over follow-up, though improvement from baseline was significant in both groups after 26 weeks and 3 years. For pain at... Read More »
Conference Report
6%
Synopsis: 34 participants clinically diagnosed with lateral epicondlyalgia were included in this study which examined the immediate effects of two counterforce braces.Participants received all three treatment conditions (forearm-elbow brace, forearm only brace, no brace) in a random order, and underwent immediate evaluation following application for outcomes of pain-free grip strength (PFG), pressure pain threshold (PPT), and wrist angle during PFG task.There were no significant condition-by-time interactions identified among the three groups for any of the outcomes. Collectively, PFG and... Read More »
Author verified Level 2 RCT
6%
Synopsis: 90 patients with mild to moderate knee osteoarthritis (Kellgren-Lawrence grade I-II) were randomized to receive either a low intensity, long duration ultrasound device or a sham ultrasound device.Treatment was administered daily for 6 weeks.Outcome measures included pain on a numeric rating score (NRS pain), pain, stiffness, and function scales of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion in flexion and extension, and strength in flexion, extension, and rotation.Results after 6 weeks demonstrated significantly greater improvement from baseline in the US group compared to the sham group for NRS pain, WOMAC pain, WOMAC stiffness, and WOMAC function scales. Differences between groups... Read More »
Level 1 RCT
6%
Synopsis: 222 patients with femoroacetabular impingement were randomized to either arthroscopic surgery or to a tailored physiotherapy program.The purpose of this study was to compare functional scores, quality-of-life scores, and incidence of complications between the two groups at 8-month follow-up.Results for the primary outcome measure, the Hip Outcome Score Activities of Daily Living (HOS ADL), demonstrated significantly higher scores in the arthroscopy group compared to the PT group at 8 months.Most secondary outcomes of changes in function and QoL scores significantly favoured the arthroscopy group as well.Crossover from the PT group to arthroscopy was recorded in 6 patients. Three complications, including... Read More »
Level 2 RCT
3%
Synopsis: 52 patients suffering from lateral epicondylosis were organized to perform a grip-strength task with 4 orthoses (3 actual orthoses, 1 placebo), tested in a randomly determined order.This study compared the immediate effects of three commonly used orthoses on pain-free grip-strength in this population. The results indicated... Read More »
Level 2 RCT
3%
Synopsis: 60 patients diagnosed with plantar heel pain were randomized to receive either treatment incorporating soft tissue trigger release therapy (TrP) in combination with a self-stretching program or receive treatment with a self-stretching program alone. The results from this study indicate that the addition of soft tissue trigger point therapy to a self-stretching program provided superior functional and self-reported pain outcomes when compared to treatment of a self-stretching program alone. Read More »
Level 2 RCT
3%
Synopsis: 30 patients presenting with 32 cases of trigger finger were included in this study to evaluate and compare the efficacy of two splint treatments.Patients received splinting with metacarpophalangeal (MCP) joint blocking or distal interphalangeal (DIP) joint blocking splints. Results following the... Read More »
Author verified Level 2 RCT
3%
Synopsis: 8 ACE Reports (7 randomized controlled trials and 1 systematic review and meta-analysis, n=694) from the OrthoEvidence database assessing the effectiveness of corticosteroid injections in comparison to control injections (either saline or local anesthesia) for the treatment of lateral epicondylitis were included in this review.The purpose of this review was to determine the impact of corticosteroid injections on pain and physical function in comparison to these control treatments.As such, information and data on platelet-rich plasma (PRP) injection efficacy as a treatment was not included from reports.Statistical pooling of VAS pain scores and Quick DASH scores exhibited that corticosteroid injections provided significant pain relief, compared to control injections only in the short-term (6-12 weeks), while having no functional benefits over control injections at any time point within a 6 month period. Similar results were... Read More »
ACE Review
3%
Synopsis: 71 patients with lateral epicondylitis were randomized to undergo either arthroscopic or open lateral release surgery, after a minimum of 6 months of conservative treatment.The purpose of this study was to compare the two treatments and determine if there were any significant differences in quality of life and function. No significant differences... Read More »
Conference Report